Prevention, diagnostics and treatment of conditions related to tissues surrounding teeth, gums, bone and tooth fibers.


Unfortunately, parodontopathy is becoming a more frequent condition and it is safe to say it is a disease of our time. It can start in early youth. It is a chronic disease of the tooth supporting apparatus and cannot be cured but only slowed down. Since the cause of parodontopathy is dental plaque composed of bacteria, dental hygiene is very important. If dental hygiene is not adequate, dental plaque and remaining soft plaque turn into calculus which mechanically irritates and burdens the gums after which they bleed and swell – gingivitis.


If you turn to your dentist at this stage, the treatment is a conservative one. We remove the calculus and soft plaque with an ultrasound method. However, if your gingivitis is not treated, as the inflammation spreads, periodontal pockets appear, even at this stage we have a conservative approach by performing curettage of the pockets and removing the pathological tissue from the pockets in local anaesthesia.


If this stage is also skipped, the bleeding in the gums becomes greater as well as bone destruction so the teeth start moving. It is then that we have to approach this condition surgically, a so-called flap surgery. The gums are separated from the teeth, i. e. an incision in the gums is made and all the pathological contents from the pockets is removed, after which an artificial bone is inserted. After this, prosthetic work is done on the patient.


  • Apart from inadequate oral hygiene, parodontopathy-occurring predisposing factors are also smoking, as well as genetics and bad prosthetic work previously done.
  • Whatever the stage the patient is when he turns to his dentist for help, it is very important to show him/her adequate oral hygiene.


It very important not to mistake parodontopathy with gum recession, a thing commonly done among patients. It is on no accounts the same thing, their causes are different as well as their treatments. The causes to gum recession may be bad hygiene technique, bad teeth position, trauma, or certain premature contacts, high frenulum attachment, etc. Recessions mostly appear in certain teeth although on some rare occasions they can be generalized. They are treated surgically, but only when the cause is done away with. TVT is the most common surgery which entails taking connective tissues with periosteum from the palate and their placement on exposed tooth necks and roots.


PRF - Platelet Rich Fibrin

 One of the manners to treat recession that is nowadays more frequently used in many surgical interventions is PRF- Platalet Rich Fibrin. It is used after tooth extractions, in periodontal surgery and implantology, for sinus lifts.



PRF is blood product obtained by centrifugation of the patient’s blood. In matter of minutes we obtain a so-called clot rich in platelets that release growth factors or cytokines that stimulate stem cells to regenerate both soft and bone tissues. Clot can be mixed with artificial bone replacements but can also be used to create membranes often used is recession treatments.


PRF is also very often used for ridge augmentation. How many of you have heard of a flipper denture? How many of you wear it unfortunately? A flipper denture is in essence a small brace that compensates for one or several teeth but is exclusively a temporary solution. However, many patients wear it for a long time. When patients finally decide to do a bridge we encounter a problem – due to long use of this denture there is bone resorption and ridge collapse, a so-called indents in the bone.


In order to completely satisfy the aesthetics prior to any prostheses, it is necessary to augment the ridge first and then do the replacement. To this purpose, the use of PRF together with artificial bone replacements has proved to be an excellent choice.

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